Dynamic cervical support

ABSTRACT

An improved dynamic cervical support supplying constantly sustained traction to a patient&#39;&#39;s head, yet insuring essentially full normal mobility of the head. The shoulder harness of the device include rigid shoulder straps or arcuate shoulder members which, though made of rigid material, can be adjusted about points of attachment to accommodate a variety of shoulder configurements. The head frame or support itself is of hinged construction and can be easily altered as to longitudinal dimension for the comfort of the user. Compression spring means provides the needed traction, and spring guides and/or mounts maintain ball-and-socket connection to their mountings, to insure axial deflection of the compression springs used in an advantageous manner. Larger spring members journal interior support structure and provide for a degree of lateral flexibility, as well as offering a restoring force to such interior support structure. Articulative joints at selected points in the structure insure wide versatility of use and mobility even though traction is constantly maintained. A side hinge and hook construction provide for selective opening and closure of the lower jaw member of the head frame to the rear head support thereof.

Umted States Patent [1 1 nu 3,776,224

McFarland 11 Dec. 4, 1973 DYNAMIC CERVICAL SUPPORT [57] ABSTRACT Inventor! Hamld McFallflnd, Salt Lake An improved dynamic cervical support supplying con- City, Utah stantly sustained traction to a patients head, yet insuring essentiall full normal mobility of the head. The

[73] Asslgnee' lsvledlcal Dev-elopmem Corporauon shoulder harri ess of the device include rigid shoulder alt Lake City, Utah straps or arcuate shoulder members Wl'llCh, though [22] Filed: Feb. 24, 1972 made of rigid material, can be adjusted about points of attachment to accommodate a variety of shoulder [211 App]' 228341 configurements. The head frame or support itself is of hinged construction and can be easily altered as to [52] US. Cl. 128/75, 128/DIG. 23 longitudinal dimension for the comfort of the user.

[51] Int. Cl A61h 1/02 Compression spring means provides the n d d trac- [58] Field of Search 128/75, DIG. 23, tion, and spring guides and/or mounts mai t i b lll /87, 83, 84, 88, 85 and-socket connection to their mountings, to insure axial deflection of the compression springs used in an [56] References Cited advantageous manner. Larger spring members journal UNITED STATES PATENTS interior support structure and provide for a degree of 3,103,215 9/1963 Schmidt 123 010. 23 lateral flexibility as as a reswring frce 2,102,069 12,1937 to such interior support structure. Articulative joints 3,601,123 3 197 McFarland" at selected points in the structure insure wide versatil- 2,507,273 4/1970 Yellin ity of use and mobility even though traction is con- 2,474,20O 6/1949 McBee .L l28/DlG. 23 stantly maintained. A side hinge and hook construc- Primary Examiner-William E. Kamm Assistant Examiner-J. ,Yasko Attorney-M. Ralph Shaffer tion provide for selective opening and closure of the lower jaw member of the head frame to the rear head support thereof.

8 Claims, 8 Drawing Figures DYNAMIC CERVICAL SUPPORT The present invention relates to cervical supports and, more particularly, to a new and improved cervical support providing a variety of advantages over other supports known in the field.

The present invention generally relates to cervical supports to be used to supply traction to the upper spinal column by giving raised support to the head relative to the shoulders.

While it is quite common to supply a compressive spring-type traction force to head support structures, difficulty has been encountered in connection with designing suitable traction structure for the head which insures full mobility of the head while yet maintaining the needed traction for all head orientations. I

The present invention provides,on opposite sides of the head frame supported by the shoulder brace, novel support means comprising an outer spring, serving to supply both give and also a gentle restoring force in those instances at which the patient has turned his head either to the right or to the left. Pivot mounts joined the head frame of the upstanding support so that up-anddown, back-and-forth movement of the head is facilitated. lmportantly, second spring means disposed interiorly of the first spring mentioned, is provided for supplying the desired upward tension to the head frame. Such second spring means enjoy an effective, articulative mount in the form of a ball-and-socket, articulative joint relative to the support structure of the shoulder harness. In this way, new orientation or deflections from the normal vertical axis of the support structure are provided, this to insure that the inner spring, generally having a reduced spring constant relative to the outer spring, may always maintain a straight, axial positionment, regardless of the turning or deflection of the head. This maintains spring life and, importantly, insures the application of normal forces to the head frame whatever its, momentary position. Likewise, the full traction effect of the springs is maintained since such springs are always normally applied to the post structures of a head frame, and this along essentially the entire length of such spring means.

Such a cervical brace, as about to be described in detail, will be extremely effective in the treatment of patients who may have become accident victims or who have incurred chronic, degenerative diseases of the spine and/or neck.

Accordingly, a present object of the present inven- ,tion is to provide a new and improved cervical neck brace.

A further object is to provide a cervical neck brace wherein rigid shoulder members of the shoulder harness thereof may be adjusted to accommodate a variety of patients as to the slope of their shoulders.

An additional object is to provide an improved cervical brace allowing for a wide degree of head freedom, even though traction is constantly maintained.

A further object is to provide a cervical neck brace having a head frame of hinged construction.

An additional object is to provide a cervical brace, a head frame that can be adjusted as to longitudinal dimension.

An additional object is to provide a cervical neck brace wherein a maximum number of degrees of freedom are enjoyed by the user, and this throughout constant application of traction.

An additional object is to provide an improved cervical brace which can be assembled in a minimum of time.

An important object of the invention is to provide a cervical neck brace having traction-producing spring means which are kept oriented in a direction essentially normal to the head frame of the brace whatever disposition the latter may temporarily enjoy due to patient or other movement.

A further object is to provide a cervical neck brace having traction producing spring means guided by, extending to, or terminatingin an articulative joint designed such that the spring means may be kept longitudinally positioned throughout essentially their entire length, and this normal to the head frame which they urge upwardly, whatever the temporary or other positionment of the head frame at any particular time.

The features of the present invention which are believed to be novel are set forth with particularity in the appended claims.

The present invention, both as to its organization and manner of operation, together with further objects and advantages thereof, may best be understood by reference to the following description, taken in connection with the accompanying drawings in which:

FIG. I is a perspective view in reduced scale of the improved cervical brace of the present invention.

FIG. 1A is a fragmentary rear view of the cross brace structure and is taken along the line lA-lA in FIG. 1.

FIG. 2 is an enlarged exploded view of the support structure of the improved cervical neck brace, the same'extending from a shoulder strap or arcuate shoulder member of a shoulder brace of the device, upwardly to the head frame'of the brace.

FIG. 3 is an assembly view of one-half of the suppo structure of the cervical brace of the present invention and is shown in vertical section.

FIG. 4 is an enlarged, fragmentary detail illustrating the hooking engagement of the jaw support member of the head support of the brace to its adjoining structure.

FIG. 4A is a fragmentary enlarged detail illustrating the hinged connection between the jaw support member of the head frame and its adjoining structure such that the chin area of the head structure may be opened and closed to accommodate the user.

FIG. 5 is an enlarged, fragmentary perspective view of an optional medial portion of a representative, arcu ate shoulder member that can be utilized in mounting the traction support structure to the shoulder brace.

FIG. 6 is a fragmentary view, shown in reduced scale and in section, of an alternate form of the invention wherein the articulative joint of the traction spring is disposed remote from the spring end proper.

In FIG. 1 the cervical brace of the present invention is shown to include the shoulder harness 10. Shoulder harness 10 includes downwardly concave, arcuate shoulder members 11 and 12 which are joined together by cross brace 13 secured thereto as by welding, riveting releasable attachments, and so forth. If desired Allen-type screws 15 may be used as pivot screws for joining the arcuate shoulder members to cross brace 13. In such event, slotted apertures 16 and 17 may be provided to accommodate adjustment screws 18. These latter thread into the respective arcuate shoulder member 11 in threaded apertures (not shown). Thus, the slotted apertures 16 and 17 provide for an adjustment such that the respective arcuate shoulder member 11 may be pivoted about pivot screws 15, this to accommodate a variety of slop-configurements of shoulders of the user.

In the embodiment shown in FIG. 1, each of the arcuate shoulder members advantageously includes a medial portion that can be raised as indicated and, in any event, includes threaded apertures A, see FIG. 2, for receiving Allen screws B. The latter are employed to secure to respective medial portion 19 a base member 20. Accordingly, machine screws or Allen screws pass through apertures 21 to threadedly engage the apertures A of medial portion 19. Base member 20 includes an open access aperture 22 contiguous with an undercut shoulder 23. The enlarged base groove 24, in effect, suitably serves as a seat for receiving the lower turn 25 of upstanding spring 26. Thus, on assembly, the base member 20 is first installed upon medial portion 19; subsequently the spring 26 is advanced so that the lower turn 25 is snapped into, and is thereby received by the groove or seat 24.

Spring 26 receives at its outer extremity 27 a boss 28, the latter including a head 29 of tapered configurement and a tapered shank 30. An interior bore 31 is provided the boss 28, and the latter receives sleeve 32. Sleeve 32 includes one or more outer peripheral groove 33, providing a seat for snap ring 34, see FIG. 3. Sleeve 32 is reciprocatingly joumaled within boss 28, as shown in FIG. 3, and includes upper, transverse, threaded wall aperture 35 receiving set screw 36. Set screw 36 also threads through bushing 37 which is pressed into sleeve 32 and engages and vertically positions post 38. The bottom edge of bushing 37 serves as a stop abutment for the upper edge of tubular member 45 as, for example, when the user raises his shoulders to produce a positive traction effect.

An artulative ball-and-socket joint at 39 takes the form of a spherical mount member 40, the latter including ball 41 and depending threaded stem 42. The threaded stem engages a mounting nut 43 and is either disengaged from or threaded into aperture 44.

Tubular member 45.is joumaled within sleeve 32 and includes a spherically configured base 46 provided with aperture 47. Aperture 47 receives the turned-down shank area 48 of artulated spherical member 40.

Spring 50 engages at its opposite ends, respectively, the lower end 51 of tubular member 32 and also upper surface 53 of the representative, arcuate-shouldermember medial portion 19.

Post 38 includes an upper boss portion 52, provided with a transverse aperture 53. The same includes a spherically configured portion 54 which cooperates with the ball end 55 of articulative pivot screw 56. The ball end or head 55 may, if desired, simply be spherically configured at X to correspond with the spherical configurement of the interior of the aperture 53 at this point (y). Shank 56 is threaded at 57 and threads into aperture 58 of jaw support member 59.

Spacer 60 likewise includes a threaded aperture at 61 and preferably includes an outer tapered end 62. If desired, an aperture tapered area 63 may likewise be provided to accommodate the outwardly extending end 62 of the spacer or bushing previously referred to.

In FIG. 1 it is seen that the jaw support member 59 and the rear head support 64 are joined together, either directly or by the inclusion of medial adjoining members 86 and 78. This may be accomplished by incorporation of machine pivot screws 66 and adjustment screws 67. In this connection, slotted apertures 68 may be provided in the members 86 and 86. Additionally, a plurality of apertures 70 may be additionally provided in these members, as well as corresponding threaded apertures 70A in the opposite sides of rear head support 64 to serve for the threaded reception of pivot screw 66. Accordingly, by combination of pivot screw apertures, as at 70, the over-all longitudinal length of the composited head support 72 may be made adjustable. Correspondingly, the provision of adjustment screws on 67 on opposite sides of the device enable a tilting of the jaw support member relative to the rear head support 64. Accordingly, a variety of head configurements, that is jaw extension and angulation relative to the lower rear of the skull may be accommodated.

FIG. 3 illustrates that a hinge pin or hinge pin ears at 75 may be provided through the ear 76 and 77 of the medial member 78 joining the rear head support 64 to the forward jaw support member 59. Of course, the hinge pin 75 may simply take the form of upper and lower pivot extensions C and D of jaw support member 59. For ease of assembly, there may be provided an insert member 78 secured to upper flange 79 of machine screw 80 and provided with a hook type end 81, not shown, which encompasses the raised tab or pivot 75, see FIG. 3.

Medial portion 86 includes an inwardly turned end 87 provided with slot 88. The latter receives the neck 89 of head portion 90 of the jaw support member 59, see FIG. 4.

Rather than include the upstanding medial portion as at 19 on each side of the device, the device may include simply turned tabs 90 joined to the respective arcuate shoulder members 11 and 12 in a manner indicated in FIG. 5. The structure of FIG. 5 has some advantages in that the mount 19A, corresponding to medial portion 19, may be bent upwardly and downwardly along the axis B so as to accommodate patients having different shoulder and neck structures.

FIG. 6 illustrates that, rather than include the exterior spring 50, an interior spring 91 may be utilized. In the latter event, an interior shoulder 92 serves as a seat for spring 91, whereas the upper portion at 93 of the spring may engage post 38 or its collar 37, see FIG. 6.

As to operation, a number of advantages may be seen in connection with the structure as described. F lexibility of the shoulder harness is insured through the use of the pivot screws 18 and slots 17, this so that the shoulder strap or arcuate shoulder members may be tilted laterally such that the most comfortable position for the wearer may be assured. Note that such adjustments take place about the longitudinal axes of pivot screws 15 which, in part, secure cross brace 13 to the shoulder straps or arcuate shoulder members of the harness.

In the five piece construction of the head support or frame, namely, by virtue of the jaw support member 59, rear head support 64, and the side medial joining support members 86 and 78, the longitudinal dimension of the over-all head support may be adjusted in accordance with the head contour of the user. Accordingly, different ones of the adjustment holes as seen in FIG. 1 and identified in FIG. 2 have been utilized. Further, the jaw support member 59 may be tilted upwardly or downwardly relative to rear head support 64, simply by the use of the slottedholes at 58, in FIG. 2, with the tightening of screw 67.

Of prime importance is the inclusion of a tubular base member as at 45 in FIG. 3 which form an articulative ball-and-socket joint with the ball member 40. This provides for a free displacement or tilting of the axis F of each side support for the head support 72, this so that the head may be rotated freely back-and-forth and also adjusted from side-to-side. Accordingly, a maximum of movement is enjoyed without detering the upward tractionprovided as by the opposite springs 50. Note is to be had that springs 26 merely serve to provide a restoring force to the head support after the head, from its tilt position, is returned by the patient to forward orientation. It is the action of compression springs 91, in FIG. 6, or springs 50, in FIG. 3, which provide the upper tension or upward force of the neck region of the spinal column. Springs 26, on opposite sides of the user, merely generally orient the head support 72 upwardly. above the brace, and provide flexibility when the user turns his head to the right or to the left; additionally, such springs supply a gentle restoring force for the patient when his head is to be returned to the normal position. The ball-and-socket joint proximate ball 40, in FIG. 3, provides both for axial position of the spring 50, as well as facilitates a deflection of the axis at spring 26 along essentially its entire length in accordance with the movement by the patient of his head.

Accordingly, what has been provided is a new and useful cervical brace support which offers adjustment features as to the shoulder harness thereof in connection with the back, shoulder and neck configurements of the individual patients, this for their maximum comfort while wearing the brace. Upper tension is applied by springs 50 whose longitudinal axes are deflectivle in accordance with the desires of the user through his head movement and as facilitated by the ball-andsocket joints at the base of the side support structures proximate ball 41. Up and down tilting of the head is accomplished with a journal proximate areas 53 and 55 in FIG. 3. The length adjustment is facilitated by intermediate members as before described and a hinged hook construction supplies needed releasible engagement of the head support proper.

While particular embodiments of the present invention have been shown and described, it will be obvious to those skilled in the art that changes and modifications may be made without departing from this invention in its broader aspects and, therefore, the aim in the appended claims is to cover all such changes and modifications as fall within the true spirit and scope of this invention.

I claim:

1. A cervical brace including, in combination, a pair of mutually spaced, downwardly concave, arcuate shoulder members, a cross brace, means pivotdisplacably securing said arcuate shoulder members to said cross brace, and means releasably fixing the selected disposition of said arcuate shoulder members relative to said cross brace, and wherein said cross brace overlaps said arcuate shoulder members and include askew slotted apertures, said releasably fixing means comprising attachment means respectively engaging said cross brace, passing through said askew apertures, and retentively engaging said arcuate shoulder straps.

2. A cervical brace including, in combination, a head frame, a shoulder harness, means coupled to said head frame and shoulder harness for springingly supporting said head frame above said shouldler harness, said head frame including a jaw support member, a rear head support, and means adjustably securing said jaw support member to said rear head support, whereby the length of said head frame can be adjusted to accommodate a variety of head sizes, and means hinging said jaw support member to said rear head support, said hinging means being hinged transversely outwardly relative to said jaw support member.

3. Structure according to claim 2 wherein said adjustably securing means comprise opposite-side medial members, at least one of said rear head support and a respective one of said medial members including longitudinally spaced apertures, and attachment means securing said rear head support to said respective medial member at a selected one of said longitudinally spaced apertures.

4. Structure according to claim 3 wherein one of said rear head support and a respective one of said medial members includes means enabling and providing tiltable adjustment of said rear head support relative to said respective medial member.

5. A cervical brace including, in combination, a head frame, a shoulder harness, and support means operably disposed between said head frame and said shoulder harness and comprising a pair of support structures respectively disposed on opposite sides of said head frame, each of said support structures comprising a post journalling said head frame thereto for movement of the latter about a horizontal axis, first spring means secured to said shoulder harness and including an upwardly disposed journal boss, a sleeve journaled in said journal boss and supporting said post, a cylinder having apertured, lower, spherical ball-and-socket end and disposed within said sleeve such that the latter may slide thereon, a ball mount comprising a ball portion nestled in said socket and a shank protruding downwardly through said apertured end to be retained proximate said shoulder strap and a traction-producing compression spring disposed between and engaging said shoulder harness and said sleeve.

6. A cervical brace including, in combinatioma head frame, a shoulder harness, and support means operably disposed between said head frame and said shoulder harness and comprising a pair of support structures respectively disposed on opposite sides of said head frame, each of said support structures comprising a post journalling said head frame thereto for movement of the latter about a horizontal axis, first spring means secured to said shoulder harness and including an upwardly disposed journal boss, a sleeve journaled in said journal boss and supporting said post, a cylinder having an apertured, lower, spherical ball-and-socket end and disposed within said sleeve such that the latter may slide thereon, a ball mount comprising a ball portion nestled in said socket and a shank protruding downwardly through said apertured end to be retained proximate said shoulder straps, and a traction-producing spring operatively disposed between said cylinder and said post.

7. In a cervical brace construction including a shoulder harness, a head frame and mounting means springingly supporting said head frame above said shoulder harness; an improvement wherein said head frame comprises a rear head support, a lower jaw support,

means hingedly connecting said lower jaw support on one side thereof to said rear head support at a corresponding side, and means releasably retaining the re- 8. Structure according to claim 7 wherein said last maining side of said lower jaw support to the remaining mentioned means comprises hook means releasably inside of said rear head support, said hingedly connecting terengagable as between said lower jaw support and means being hinged transversely outwardly relative to said rear head support. said lower jaw support 

1. A cervical brace including, in combination, a pair of mutually spaced, downwardly concave, arcuate shoulder members, a cross brace, means pivot-displacably securing said arcuate shoulder members to said cross brace, and means releasably fixing the selected disposition of said arcuate shoulder members relative to said cross brace, and wherein said cross brace overlaps said arcuate shoulder members and include askew slotted apertures, said releasably fixing means comprising attachment means respectively engaging said cross brace, passing through said askew apertures, and retentively engaging said arcuate shoulder straps.
 2. A cervical brace including, in combination, a head frame, a shoulder harness, means coupled to said head frame and shoulder harness for springingly supporting said head frame above said shoulder harness, said head frame including a jaw support member, a rear head support, and means adjustably securing said jaw support member to said rear head support, whereby the length of said head frame can be adjusted to accommodate a variety of head sizes, and means hinging said jaw support member to said rear head support, said hinging means being hinged transversely outwardly relative to said jaw support member.
 3. Structure according to claim 2 wherein said adjustably securing means comprise opposite-side medial members, at least one of said rear head support and a respective one of said medial members including longitudinally spaced apertures, and attachment means securing said rear head support to said respective medial member at a selected one of said longitudinally spaced apertures.
 4. Structure according to claim 3 wherein one of said rear head support and a respective one of said medial members includes means enabling and providing tiltable adjustment of said rear head support relative to said respective medial member.
 5. A Cervical brace including, in combination, a head frame, a shoulder harness, and support means operably disposed between said head frame and said shoulder harness and comprising a pair of support structures respectively disposed on opposite sides of said head frame, each of said support structures comprising a post journalling said head frame thereto for movement of the latter about a horizontal axis, first spring means secured to said shoulder harness and including an upwardly disposed journal boss, a sleeve journaled in said journal boss and supporting said post, a cylinder having apertured, lower, spherical ball-and-socket end and disposed within said sleeve such that the latter may slide thereon, a ball mount comprising a ball portion nestled in said socket and a shank protruding downwardly through said apertured end to be retained proximate said shoulder strap and a traction-producing compression spring disposed between and engaging said shoulder harness and said sleeve.
 6. A cervical brace including, in combination, a head frame, a shoulder harness, and support means operably disposed between said head frame and said shoulder harness and comprising a pair of support structures respectively disposed on opposite sides of said head frame, each of said support structures comprising a post journalling said head frame thereto for movement of the latter about a horizontal axis, first spring means secured to said shoulder harness and including an upwardly disposed journal boss, a sleeve journaled in said journal boss and supporting said post, a cylinder having an apertured, lower, spherical ball-and-socket end and disposed within said sleeve such that the latter may slide thereon, a ball mount comprising a ball portion nestled in said socket and a shank protruding downwardly through said apertured end to be retained proximate said shoulder straps, and a traction-producing spring operatively disposed between said cylinder and said post.
 7. In a cervical brace construction including a shoulder harness, a head frame and mounting means springingly supporting said head frame above said shoulder harness; an improvement wherein said head frame comprises a rear head support, a lower jaw support, means hingedly connecting said lower jaw support on one side thereof to said rear head support at a corresponding side, and means releasably retaining the remaining side of said lower jaw support to the remaining side of said rear head support, said hingedly connecting means being hinged transversely outwardly relative to said lower jaw support.
 8. Structure according to claim 7 wherein said last mentioned means comprises hook means releasably interengagable as between said lower jaw support and said rear head support. 